Related Experiment Videos
Bilirubinate granules: main pathologic bile component in patients with idiopathic acute pancreatitis
G Pérez-Martín1, J Gómez-Cerezo, R Codoceo
1Department of Internal Medicine, La Paz Hospital, Autonoma University, Madrid, Spain.
Objective:
The aim of this study was to evaluate the main pathologic component of bile obtained by biliary drainage in patients with acute idiopathic pancreatitis and therapeutic implications.
Method:
Eighteen patients diagnosed with idiopathic acute pancreatitis underwent biliary drainage. Microscopic evaluation of bile was performed and pathologic components were classified in cholesterol microcrystals, bilirubinate granules, and calcium microspherolites.
Results:
Five patients showed no abnormalities. In 11 patients, bilirubinate granules were found, cholesterol microcrystals in two, and Giardia lamblia in two.
Conclusion:
Bilirubinate granules are the main pathologic component of bile in patients with acute idiopathic pancreatitis. Cholecystectomy is the preferred therapeutic approach.